Organization
CENTER FOR COMPUTER ASSISTED AND RECONSTRUCTIVE SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE MARY SIMPSON-MURPHY (OFFICE MANAGER)
(617) 232-3040
Entity
Organization
Contact information
Practice address
125 PARKER HILL AVENUE, SUITE 545, BOSTON, MA 02120
(617) 232-3040
(617) 754-6436
Mailing address
61 WEDGEMERE AVENUE, WINCHESTER, MA 01890
(617) 232-3040
(617) 754-6436
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
58245
MA
207X00000X
Orthopaedic Surgery Physician
58245
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
694495
TUFTS
MA
01
—
CEM18202
BCBS
MA
Enumeration date
08/05/2007
Last updated
06/10/2021
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